Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Suzan Jackovatz, RDN, LD

Individual provider Registered Dietitian · NPI 1578943437

Suzan Jackovatz, RDN, LD is a Registered Dietitian in Braselton, Georgia. Licensed in Georgia and South Carolina. Registered with an NPI since 2015.

Licensed in
GA, SC
In the registry since
2015
Specialties on file
2
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

5528 Ridgemoor Dr
Braselton, GA 30517-1226
Phone: (678) 997-7421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD001330 (GA)
Registered Dietitian Taxonomy 133V00000X · Licence 1217 (SC)

Record details

NPI number1578943437
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LD
Sole proprietorNo
NPI enumeratedJune 5, 2015
Last updated in NPPESJune 5, 2015

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